Healthcare Provider Details

I. General information

NPI: 1578612818
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 S MADISON ST
WHITEVILLE NC
28472-4521
US

IV. Provider business mailing address

PO BOX 2249
WHITEVILLE NC
28472-7249
US

V. Phone/Fax

Practice location:
  • Phone: 910-642-2106
  • Fax: 910-642-6903
Mailing address:
  • Phone: 910-642-2106
  • Fax: 910-642-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0209
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0920
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0123
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0261
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3459
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0919
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3651
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3460
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 10
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA L BYRD
Title or Position: PRESIDENT - OWNER
Credential:
Phone: 910-642-2106